PMID- 35713499 OWN - NLM STAT- MEDLINE DCOM- 20221227 LR - 20230322 IS - 1462-0332 (Electronic) IS - 1462-0324 (Print) IS - 1462-0324 (Linking) VI - 62 IP - 1 DP - 2022 Dec 23 TI - COVID-19 vaccination-related adverse events among autoimmune disease patients: results from the COVAD study. PG - 65-76 LID - 10.1093/rheumatology/keac305 [doi] LID - keac305 AB - OBJECTIVES: COVID-19 vaccines have been proven to be safe in the healthy population. However, gaps remain in the evidence of their safety in patients with systemic autoimmune and inflammatory disorders (SAIDs). COVID-19 vaccination-related adverse events (AEs) in patients with SAIDs and healthy controls (HC) seven days post-vaccination were assessed in the COVAD study, a patient self-reported cross-sectional survey. METHODS: The survey was circulated in early 2021 by >110 collaborators (94 countries) to collect SAID details, COVID-19 vaccination details and 7-day vaccine AEs, irrespective of respondent vaccination status. Analysis was performed based on data distribution and variable type. RESULTS: Ten thousand nine hundred respondents [median (interquartile range) age 42 (30-55) years, 74% females and 45% Caucasians] were analysed; 5867 patients (54%) with SAIDs were compared with 5033 HCs. Seventy-nine percent had minor and only 3% had major vaccine AEs requiring urgent medical attention (but not hospital admission) overall. Headache [SAIDs = 26%, HCs = 24%; odds ratio (OR) = 1.1 (95% CI: 1.03, 1.3); P = 0.014], abdominal pain [SAIDs = 2.6%, HCs = 1.4%; OR = 1.5 (95% CI: 1.1, 2.3); P = 0.011], and dizziness [SAIDs = 6%, HCs = 4%; OR = 1.3 (95% CI: 1.07, 1.6); P = 0.011], were slightly more frequent in SAIDs. Overall, major AEs [SAIDs = 4%, HCs = 2%; OR = 1.9 (95% CI: 1.6, 2.2); P < 0.001] and, specifically, throat closure [SAIDs = 0.5%, HCs = 0.3%; OR = 5.7 (95% CI: 2.9, 11); P = 0.010] were more frequent in SAIDs though absolute risk was small (0-4%). Major AEs and hospitalizations (<2%) were comparable across vaccine types in SAIDs. CONCLUSION: Vaccination against COVID-19 is safe in SAID patients. SAIDs were at a higher risk of major AEs than HCs, though absolute risk was small. There are small differences in minor AEs between vaccine types in SAID patients. CI - (c) The Author(s) 2022. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Sen, Parikshit AU - Sen P AD - Maulana Azad Medical College, New Delhi. FAU - Ravichandran, Naveen AU - Ravichandran N AUID- ORCID: 0000-0003-2014-3925 AD - Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. FAU - Nune, Arvind AU - Nune A AUID- ORCID: 0000-0002-3849-614X AD - Southport and Ormskirk Hospital NHS Trust, Southport. FAU - Lilleker, James B AU - Lilleker JB AUID- ORCID: 0000-0002-9230-4137 AD - Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester. AD - Neurology, Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, UK. FAU - Agarwal, Vishwesh AU - Agarwal V AD - Mahatma Gandhi Mission Medical College, Navi Mumbai, Maharashtra, India. FAU - Kardes, Sinan AU - Kardes S AD - Department of Medical Ecology and Hydroclimatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. FAU - Kim, Minchul AU - Kim M AD - Center for Outcomes Research, Department of Internal Medicine, University of Illinois College of Medicine Peoria, IL, USA. FAU - Day, Jessica AU - Day J AUID- ORCID: 0000-0001-8528-4361 AD - Department of Rheumatology, Royal Melbourne Hospital. AD - Walter and Eliza Hall Institute of Medical Research. AD - Department of Medical Biology, University of Melbourne, Parkville, Victoria, Australia. FAU - Milchert, Marcin AU - Milchert M AD - Department of Internal Medicine, Rheumatology, Geriatrics and Clinical Immunology, Pomeranian Medical University in Szczecin, Szczecin, Poland. FAU - Gheita, Tamer AU - Gheita T AUID- ORCID: 0000-0002-1155-9729 AD - Rheumatology Department, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt. FAU - Salim, Babur AU - Salim B AD - Rheumatology Department, Fauji Foundation Hospital, Rawalpindi, Pakistan. FAU - Velikova, Tsvetelina AU - Velikova T AD - Department of Clinical Immunology, Medical Faculty, University Hospital 'Lozenetz', Sofia University St. Kliment Ohridski, Sofia, Bulgaria. FAU - Gracia-Ramos, Abraham Edgar AU - Gracia-Ramos AE AUID- ORCID: 0000-0003-1842-2554 AD - Department of Internal Medicine, General Hospital, National Medical Center 'La Raza', Instituto Mexicano del Seguro Social, Mexico City, Mexico. FAU - Parodis, Ioannis AU - Parodis I AUID- ORCID: 0000-0002-4875-5395 AD - Division of Rheumatology, Department of Medicine Solna, Karolinska Institutet and Karolinska University Hospital, Stockholm. AD - Department of Rheumatology, Faculty of Medicine and Health, Orebro University, Orebro, Sweden. FAU - Selva O'Callaghan, Albert AU - Selva O'Callaghan A AUID- ORCID: 0000-0003-2823-9761 AD - Internal Medicine Department, Vall D'hebron General Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain. FAU - Nikiphorou, Elena AU - Nikiphorou E AD - Centre for Rheumatic Diseases, King's College London. AD - Rheumatology Department, King's College Hospital, London. FAU - Chatterjee, Tulika AU - Chatterjee T AD - Center for Outcomes Research, Department of Internal Medicine, University of Illinois College of Medicine Peoria, IL, USA. FAU - Tan, Ai Lyn AU - Tan AL AUID- ORCID: 0000-0002-9158-7243 AD - NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust. AD - Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK. FAU - Cavagna, Lorenzo AU - Cavagna L AD - Rheumatology Unit, Dipartimento di Medicine Interna e Terapia Medica, Universita degli studi di Pavia, Pavia, Italy. FAU - Saavedra, Miguel A AU - Saavedra MA AD - Departamento de Reumatologia, Hospital de Especialidades Dr. Antonio Fraga Mouret, Centro Medico Nacional La Raza, IMSS, Mexico City, Mexico. FAU - Shinjo, Samuel Katsuyuki AU - Shinjo SK AD - Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Sao Paulo, Brazil. FAU - Ziade, Nelly AU - Ziade N AUID- ORCID: 0000-0002-4479-7678 AD - Rheumatology Department, Saint-Joseph University. AD - Rheumatology Department, Hotel-Dieu de France Hospital, Beirut, Lebanon. FAU - Knitza, Johannes AU - Knitza J AUID- ORCID: 0000-0001-9695-0657 AD - Medizinische Klinik 3 - Rheumatologie und Immunologie, Universitatsklinikum Erlangen, Friedrich-Alexander-Universitat Erlangen-Nurnberg, Erlangen, Germany. FAU - Kuwana, Masataka AU - Kuwana M AUID- ORCID: 0000-0001-8352-6136 AD - Department of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan. FAU - Distler, Oliver AU - Distler O AUID- ORCID: 0000-0002-0546-8310 AD - Department of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland. FAU - Chinoy, Hector AU - Chinoy H AUID- ORCID: 0000-0001-6492-1288 AD - Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester. AD - National Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, The University of Manchester, Manchester. AD - Department of Rheumatology, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, Salford, UK. FAU - Agarwal, Vikas AU - Agarwal V AD - Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. FAU - Aggarwal, Rohit AU - Aggarwal R AD - Division of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. FAU - Gupta, Latika AU - Gupta L AUID- ORCID: 0000-0003-2753-2990 AD - Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. AD - Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester. AD - Department of Rheumatology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK. CN - COVAD Study Group LA - eng GR - 21992/VAC_/Versus Arthritis/United Kingdom PT - Journal Article PL - England TA - Rheumatology (Oxford) JT - Rheumatology (Oxford, England) JID - 100883501 RN - 0 (COVID-19 Vaccines) SB - IM MH - Female MH - Animals MH - Humans MH - Adult MH - Male MH - COVID-19 Vaccines/adverse effects MH - *COVID-19/prevention & control MH - Cross-Sectional Studies MH - *Simian Acquired Immunodeficiency Syndrome/etiology MH - Vaccination/adverse effects MH - *Autoimmune Diseases/epidemiology/etiology PMC - PMC9214139 OTO - NOTNLM OT - COVID-19 OT - adverse reaction OT - autoimmune disease OT - rheumatic disease OT - vaccine FIR - Joshi, Mrudula IR - Joshi M FIR - Barman, Bhupen IR - Barman B FIR - Singh, Yogesh Preet IR - Singh YP FIR - Ranjan, Rajiv IR - Ranjan R FIR - Jain, Avinash IR - Jain A FIR - Pandya, Sapan C IR - Pandya SC FIR - Pilania, Rakesh Kumar IR - Pilania RK FIR - Sharma, Aman IR - Sharma A FIR - Manesh Manoj, M IR - Manesh Manoj M FIR - Gupta, Vikas IR - Gupta V FIR - Kavadichanda, Chengappa G IR - Kavadichanda CG FIR - Patro, Pradeepta Sekhar IR - Patro PS FIR - Ajmani, Sajal IR - Ajmani S FIR - Phatak, Sanat IR - Phatak S FIR - Goswami, Rudra Prosad IR - Goswami RP FIR - Chowdhury, Abhra Chandra IR - Chowdhury AC FIR - Mathew, Ashish Jacob IR - Mathew AJ FIR - Shenoy, Padnamabha IR - Shenoy P FIR - Asranna, Ajay IR - Asranna A FIR - Bommakanti, Keerthi Talari IR - Bommakanti KT FIR - Shukla, Anuj IR - Shukla A FIR - Pandey, ArunKumar R IR - Pandey AR FIR - Chandwar, Kunal IR - Chandwar K FIR - Cansu, Dondu Uskudar IR - Cansu DU FIR - Pauling, John D IR - Pauling JD FIR - Wincup, Chris IR - Wincup C FIR - Makol, Ashima IR - Makol A FIR - Del Papa, Nicoletta IR - Del Papa N FIR - Sambataro, Gianluca IR - Sambataro G FIR - Fabiola, Atzeni IR - Fabiola A FIR - Govoni, Marcello IR - Govoni M FIR - Parisi, Simone IR - Parisi S FIR - Bocci, Elena Bartoloni IR - Bocci EB FIR - Sebastiani, Gian Domenico IR - Sebastiani GD FIR - Fusaro, Enrico IR - Fusaro E FIR - Sebastiani, Marco IR - Sebastiani M FIR - Quartuccio, Luca IR - Quartuccio L FIR - Franceschini, Franco IR - Franceschini F FIR - Sainaghi, Pier Paolo IR - Sainaghi PP FIR - Orsolini, Giovanni IR - Orsolini G FIR - De Angelis, Rossella IR - De Angelis R FIR - Danielli, Maria Giovanna IR - Danielli MG FIR - Venerito, Vincenzo IR - Venerito V FIR - Traboco, Lisa S IR - Traboco LS FIR - Wibowo, Suryo Anggoro Kusumo IR - Wibowo SAK FIR - Serrano, Jorge Rojas IR - Serrano JR FIR - Garcia-De La Torre, Ignacio IR - Garcia-De La Torre I FIR - Loarce-Martos, Erick Adrian Zamora Tehozol Jesus IR - Loarce-Martos EAZTJ FIR - Prieto-Gonzalez, Sergio IR - Prieto-Gonzalez S FIR - Gil-Vila, Albert IR - Gil-Vila A FIR - Aranega, Raquel IR - Aranega R FIR - Nakashima, Ran IR - Nakashima R FIR - Sato, Shinji IR - Sato S FIR - Kimura, Naoki IR - Kimura N FIR - Kaneko, Yuko IR - Kaneko Y FIR - Tomaras, Stylianos IR - Tomaras S FIR - Gromova, Margarita Aleksandrovna IR - Gromova MA FIR - Aharonov, Or IR - Aharonov O FIR - Hmamouchi, Ihsane IR - Hmamouchi I FIR - Hoff, Leonardo Santos IR - Hoff LS FIR - Giannini, Margherita IR - Giannini M FIR - Maurier, Francois IR - Maurier F FIR - Campagne, Julien IR - Campagne J FIR - Meyer, Alain IR - Meyer A FIR - Nagy-Vincze, Melinda IR - Nagy-Vincze M FIR - Langguth, Daman IR - Langguth D FIR - Limaye, Vidya IR - Limaye V FIR - Needham, Merrilee IR - Needham M FIR - Srivastav, Nilesh IR - Srivastav N FIR - Hudson, Marie IR - Hudson M FIR - Landon-Cardinal, Oceane IR - Landon-Cardinal O FIR - Shaharir, Syahrul Sazliyana IR - Shaharir SS FIR - Zuleta, Wilmer Gerardo Rojas IR - Zuleta WGR FIR - Silva, Jose Antonio Pereira IR - Silva JAP FIR - Fonseca, Joao Eurico IR - Fonseca JE FIR - Zimba, Olena IR - Zimba O EDAT- 2022/06/18 06:00 MHDA- 2022/12/28 06:00 PMCR- 2022/06/17 CRDT- 2022/06/17 09:43 PHST- 2022/01/14 00:00 [received] PHST- 2022/04/14 00:00 [revised] PHST- 2022/06/18 06:00 [pubmed] PHST- 2022/12/28 06:00 [medline] PHST- 2022/06/17 09:43 [entrez] PHST- 2022/06/17 00:00 [pmc-release] AID - 6609762 [pii] AID - keac305 [pii] AID - 10.1093/rheumatology/keac305 [doi] PST - ppublish SO - Rheumatology (Oxford). 2022 Dec 23;62(1):65-76. doi: 10.1093/rheumatology/keac305.